Information Collection
Petitioner Appealing Final Decision under 42 CFR 83.18
IC 180185 under ICR 201606-0920-010 · OMB 0920-0639.
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0639 can be found here:
Documents and Forms
| Document Name | Document Type |
|---|---|
Attachment D3 Example of Request for Review.rev 1.pdf
| Instruction |
Information Collection (IC) Details
| IC Title | Petitioner Appealing Final Decision under 42 CFR 83.18 |
|---|